| Suburban Internal Medicine Services | |
|
4180 Warrensville Center Rd Warrensville Hts OH 44122 | |
| (216) 491-7380 | |
| Not Available |
| Full Name | Suburban Internal Medicine Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 4180 Warrensville Center Rd, Warrensville Hts, Ohio |
| Authorized Official Name and Position | Arun Gupta (DIRECTOR) |
| Authorized Official Contact | 2164413454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Internal Medicine Services 7500 Old Oak Blvd Cleveland OH 44130-3343 Ph: (440) 777-6300 | Suburban Internal Medicine Services 4180 Warrensville Center Rd Warrensville Hts OH 44122 Ph: (216) 491-7380 |
| NPI Number | 1720095870 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 02/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720095870 | NPI | - | NPPES |
| 0722043 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
John P Sevastos Do & Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4002 Warrensville Ctr Rd, Warrensville Hts, OH 44122 Phone: 216-751-3280 |